Individual
KAYLA NORDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
14301 EWING AVE S, BURNSVILLE, MN 55306-4885
(952) 746-5350
Mailing address
14301 EWING AVE S, BURNSVILLE, MN 55306-4885
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
202075
MN
Other
Enumeration date
05/03/2018
Last updated
06/15/2021
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